The World Bank pioneered global HIV and AIDS financing early in the emergency and remains committed to achieving Millennium Development Goal 6, to halt by 2015 and begin to reverse the spread of HIV and AIDS, through prevention, care, treatment, and mitigation services for those affected by HIV and AIDS.
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Results The Afghanistan HIV/AIDS Prevention Project (AHAPP), implemented by the Ministry of Public Health, sought to slow the spread of HIV and build national capacity to respond to the epidemic focusing... Show More + on key populations at high risk of infection and generating epidemiological evidence. The AHAPP supported improvements in several key outcomes:- Access to HIV prevention services for IDU reached 90.2 percent in 2012 (IBBS 2012), up from 62.4 percent in 2009 (IBBS 2009). By the closure of the project, 3,479 non-imprisoned IDU had been reached.- IBBS was expanded to six sites in 2012 up from four sites in 2009. This achievement helped provide rigorous national surveillance data across a broad geographic scope and included men who have sex with men (MSM) for the first time in Afghanistan.- The number of urban centers that had completed high risk mapping doubled from a baseline of three to an end line of six, exceeding the target by 50 percent.PartnersThere is a strong partnership among de Show Less -

New Studies Show Potential Impact of Programs for Sex Workers, People Who Inject Drugs, and Men Who Have Sex with MenWASHINGTON, November 28, 2012 – As the world prepares to commemorate World AIDS Day... Show More + on December 1, two new World Bank studies urge governments and their development partners to provide better prevention, care, and treatment services for sex workers and people who inject drugs as an important step toward ensuring a world free of AIDS.The studies are the second and third in a three-part series on key populations at higher risk in low- and middle-income countries. In June 2011, the World Bank and partners launched the first study, which focused on men who have sex with men.“In many countries, sex workers, people who inject drugs, and men who have sex with men remain marginalized in society and vulnerable to HIV,” said David Wilson, World Bank Global AIDS Program Director. “Even in countries with epidemics in the general population, these groups are disproportionately affect Show Less -

“Ending AIDS and Poverty”Your Excellencies and honored guests, ladies and gentlemen, colleagues and friends,As we look back on the history of this epidemic, it is hard to say that there is any one... Show More + moment when the tide began to turn. Because the truth is that we have been turning back the tide of AIDS, step by painful step, for 30 years.And at nearly every turn, it is the activists, and their communities, that have led the way.It was activists and communities who devised safer sex, promoted condom use, needle exchange and virtually all the behavioral prevention we use today.It was activists who transformed drug development and regulatory processes, and involved patients in clinical research, cutting drug approval times in half in the global north.It was activists in Durban in 2000 who began to push for access to antiretrovirals in the developing world and who kept pushing and are pushing still for them to be affordable and available to everyone who needs them, everywhere.And it wa Show Less -

Opiate dependence is a chronic relapsing disorder. While detoxification may lead people into drug treatment, evidence shows its long term effectiveness is generally very poor while substitution treatment... Show More + is an effective, safe and cost effective modality for the management of opioid dependence, associated with substantial reductions in illicit opioid use, criminal activity, deaths due to overdose, and behaviors with a high risk of HIV transmission. The marginalization of most drug users makes them difficult to reach and negative attitudes to drug users can make it difficult to mobilize financial, political and community support required for effective programs. In addition, local laws and regulations may prohibit the implementation of specific interventions. As a result, many governments are trying to adopt pragmatic approaches to prevent HIV among people who use drugs, and this consultation brought key stakeholders together to seek multi sector solutions to scale up OST.The country team Show Less -

WASHINGTON, June 8, 2011 – On the eve of a UN summit to renew global efforts to reverse the HIV/AIDS pandemic, 30 years after the first discovery of the HIV virus, a new World Bank study urges governments... Show More + and their development donors to provide better HIV prevention, care, and treatment services for men who have sex with men (MSM) as an essential step toward reversing the global epidemic. More than 25 million people have died of HIV/AIDS since the virus was first clinically identified in 1981.Written in close partnership with the United Nations Development Programme (UNDP) and the Johns Hopkins Bloomberg School of Public Health, the new study―Global HIV Epidemics Among Men Who Have Sex with Men (MSM): Epidemiology, Prevention, Access to Care and Human Rights―provides the first comprehensive economic analysis of evidence that MSM are at significantly higher risk for HIV infection than other groups in many low- and middle-income countries, where fewer than 1 in 10 MSM worldwide have acce Show Less -

Vienna/Washington, July 21, 2010 — HIV prevalence in India and South Asia is growing among sex workers, injecting drug users, and other marginalized groups largely because of a widespread failure to prevent... Show More + stigma and discrimination toward people living with AIDS, or at high risk of contracting the virus, according to a new report launched today at the global AIDS summit in Vienna, Austria.The new report by the World Bank and the International Centre for Research on Women―Tackling HIV-Related Stigma and Discrimination in South Asia―says that despite prevention and other efforts to reduce high-risk behaviors such as unprotected sex, buying and selling of sex, and injecting drug use, HIV vulnerability and risk remain high. Stigmatizing attitudes in the general population and discriminatory treatment by health providers and local officials, among others, intensify the marginalization of vulnerable groups at highest risk, driving them further from the reach of health services and desperate Show Less -

IDA GRANT: US$10 millionPROJECT DESCRIPTION: The project is designed to strengthen national capacity to respond to the epidemic by scaling up prevention programs targeting people engaged in high risk behaviors,... Show More + including injecting drug use and unsafe sex. These vulnerable groups at high risk include Injecting Drugs Users (IDUs), sex workers and their clients, truckers, and prisoners. Show Less -